Individual
JENNIFER NOTEBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(605) 384-4861
(605) 384-4872
Mailing address
111 WASHINGTON AVE NW, WAGNER, SD 57380-4300
(605) 384-4861
(605) 384-4872
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC20549
SD
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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